BEHAVIORAL HEALTH OF ORMOND BEACH NPI 1427247550

NPI Information

NPI: 1427247550
Provider Name: BEHAVIORAL HEALTH OF ORMOND BEACH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
533 N NOVA RD STE 203
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 672-7470
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BEHAVIORAL HEALTH OF ORMOND BEACH is a psychiatric/mental health nurse practitioner in Ormond Beach, FL. BEHAVIORAL HEALTH OF ORMOND BEACH NPI is 1427247550. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

533 N NOVA RD STE 203
ORMOND BEACH, FL
ZIP 32174-422
Phone: (386) 672-7470
Fax: (386) 672-0771

The provider's authorized official is Sandra L Brooks .
The authorized official title is Owner and has the following contact phone number (386) 672-7470.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 11/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Y4189	MEDICARE PIN	FLORIDA
2	S02080	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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